Medical Billing Companies & Consultants in Manahawkin, NJ

Practice management is the core business of AMD Medical Billing and Credentialing Services, Inc., which operates out of Southern New Jersey and receives mail in Manahawkin. Its clients are healthcare providers located throughout the United States. The firm combines payer enrollment with claims processing, so one external partner can guide a practice from its first application to an insurance network all the way to receiving payment for the services it delivers. In effect, the company acts as a contracted administrative department that collaborates with the provider's in-house personnel rather than replacing them.

Who they work with

Instead of concentrating on one field of medicine, the company serves a wide range of clinical specialties. Among the provider types it lists are:

• Physicians, doctors and physician assistants
• Urgent care centers
• Optometrists and podiatrists
• Behavioral health providers, psychiatrists and counselors
• Speech-language pathologists and physical therapists
• Chiropractors
• Clinical laboratories

Credentialing and billing services

Payer enrollment sits at the heart of what the firm sells. Its staff complete the necessary applications and continue pressing insurance companies until approval comes through, with the objective of getting each provider onto the largest possible number of plans. The thinking behind this approach is straightforward: few patients today are willing to pay for out-of-network visits, so the more plans a practice accepts, the larger the patient base it can draw from. The company also manages the recurring documentation that keeps current payer agreements in good standing. For billing, it characterizes its service as comprehensive and flexible, scaling the amount of work it takes on to fit each practice, and it points to relentless pursuit of unpaid claims as among its strongest tools for maintaining a reliable flow of reimbursement.

The firm's support extends past claim submission into revenue cycle and practice management. This includes administrative duties running from the initial processing of a claim to the final posting of payment. It also includes an examination of how a client's office operates, identifying points where work slows down and recommending improvements throughout the cycle. The overall aim is to raise the amount a practice collects while reducing the time that clinicians and office staff devote to dealing with insurers.

Technology and reporting

The company relies on ChartMaker, a practice management system developed by STI Computer Services, for routine billing and scheduling. STI was one of the earliest firms nationwide to create software for medical practices and electronic health records. The system captures charges and manages appointment books, with access available on mobile devices, and it is updated to stay in line with HIPAA rules. Reports can be generated each day, each week or each month, and the team is able to design tailored reports covering whatever metrics a specific practice wishes to monitor.

Background and credentials

According to the firm, it has around fifteen years of experience boosting income for medical practices, and during that period it has developed relationships with insurers that benefit both its claims and enrollment work. The New Jersey Department of Banking and Insurance (DOBI) has recognized it as an approved third-party billing company. It belongs to the AAPC and AMBA, and team members attend seminars, workshops and webinars to stay informed about the billing regulations that shift every year. Beyond regular weekday business hours, clients can reach the company through a separate phone line set aside for evenings. The firm also takes part in community life as a participant in the Southern Ocean Rotary Club.